Organization
OAKLEAF CLINICS SC
Active
Parent organization
OAKLEAF CLINICS SC
Other names
OakLeaf Clinics, SC - Southside OB-GYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
OAKLEAF CLINICS SC
Authorized official
JULIE M SMITH (CREDENTIALING REP-BUSINESS OFFICE)
(715) 930-6560
Entity
Organization
Contact information
Practice address
1110 OAK RIDGE DR, EAU CLAIRE, WI 54701
(715) 836-9242
(715) 836-7847
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Enumeration date
03/03/2015
Last updated
08/15/2018
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